| NPI | 1033575402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009732A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3010040) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010040) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2020-01-30 |